Cardiology Cardiac Surgery
EUROMACS-RHF Score for Right Heart Failure after LVAD
Predicts right heart failure (RHF) after left ventricular assist device (LVAD) implantation. Identifies patients at high risk who may benefit from RVAD or early optimisation.
Score interpretation
Low Risk (0–2) 0–2
Severe right heart failure after LVAD in about 11 %.
→ Standard LVAD planning.
Intermediate Risk (2.5–4) 2.5–4
Intermediate risk of severe right heart failure.
→ Optimise RV function pre-implant; heart-team review.
High Risk (> 4) 4.5–9.5
Severe right heart failure after LVAD in about 43 %.
→ Heart-team review; consider planned RV support or alternatives.
Interpretation bands for the EUROMACS-RHF. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.
